Organization Active NPI

Inner Mosaic Counseling PLLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1649159047
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNER MOSAIC COUNSELING PLLC
Practice address
301 S McDowell St Ste 125-1763
Charlotte, NC 28204-2623
Phone
(980) 457-2207
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Infiniti McCallumNPI 1710683917
Title
Organizer and Member
Phone
(980) 457-2207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

301 S McDowell St Ste 125-1763
Charlotte, NC 28204-2623

Mailing address

301 S McDowell St Ste 125-1763
Charlotte, NC 28204-2623
Phone (980) 457-2207

National Provider Directory

National Provider Directory

Locations

301 S McDowell St
Ste 1251763
Charlotte, NC 28204
Phone (980) 457-2207

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1649159047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST STE 125-1763",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "980-457-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST STE 125-1763",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "980-457-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER MOSAIC COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "INFINITI",
        "authorized_official_title_or_position": "ORGANIZER AND MEMBER",
        "authorized_official_telephone_number": "980-457-2207",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.